Individual provider Active NPI

Smita Lahoti, M.B.B.S.

  • Psychiatry Physician
  • Williston, VT
National Provider Identifier
1306377486
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0420015118 Issued in VT
Practice address
4185 St George Rd
Williston, VT 05495-7695
Phone
(201) 417-0389
NPI assigned
Mar 21, 2017
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0420015118 VT Primary

Addresses

Primary practice location

4185 St George Rd
Williston, VT 05495-7695

Mailing address

629 Country Club Dr
South Burlington, VT 05403-5894
Phone (201) 417-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2022 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420015118VTMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1306377486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 COUNTRY CLUB DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035894",
            "telephone_number": "201-417-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 ST GEORGE RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957695",
            "telephone_number": "201-417-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHOTI",
        "first_name": "SMITA",
        "credential": "M.B.B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420015118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.